Prostitus is a medical term that is applied to a series of disorders such as chronic pelvic pain to acute bacterial infection. Pain and symptoms of prostitus are urinary symptoms, fever, impotence, erectile dysfunction, painful ejaculation, perineal pain and lower back pain. Laboratory tests and exams often fail to reveal the real cause of the pain and symptoms of prostitus.
Treatment Procedure for Prostitus
Sensitive cultures and microscope examination of prostate fluid after vigorous prostate massage may give a hint for prostate dr. to differentiate prostitus caused by infection from prostitus with other genital causes. Often some stealthy infection is not known to urologist. Courses of oral antibiotics are often used even when patients don't appear to have bacterial prostitus. In case the patient responds to the therapy, antibiotics are continued for a few weeks.
Although some prostitus cases require treatment for several months. If a patient don't respond, it may be classified for chronic nonbacterial prostitus that anti-inflammatory medicine, alpha-blocker or other alternative remedies may be used for symptomatic relief.
Classification of Prostitus
Prostitus in a simple description is the infection of the prostate gland, in clinical practice, the term prostitus includes multiple diverse disorders that cause symptoms and pain related to the prostate gland. Prostitus is described as "a wastebasket of clinical ignorance" because so many poorly characterized syndromes are diagnosed as prostitus. The wide variety of prostitus ranges from simple acute bacterial prostitus to complex conditions that involve prostate blockage, calcification, and stealthy infection. The conditions are often frustrating for both prostate dr. and the patient.
Diagnosis on Prostitus
Urine Test for Prostitus
Prostitus is a stealthy disease. Despite its widespread prevalence, prostitus remains a poorly studied and little understood condition. Patients with prostitus often present with varied, nonspecific symptoms.The conventional diagnostic test for prostitus is four-glass localization method. It includes bacteria cultures of the initial voided urine, midstream urine, expressed prostate secretions, and post prostate massage urine, all these urine specimen test for urethral infection, urinary bladder infection, white blood cells, prostate infection.
Effects of Urine Test on Prostitus
Although this testing method is the mainstream practice and widely described as the gold standard for evaluation for prostitus, it has never shown its usefulness in the diagnosis or treatment of prostitus, plus it is expensive and cumbersome, which may explain its rare use by prostate doctors and urologists.
Urine Test for Prostitus
Another simpler diagnostic test call the pre and post massage test is widely used. The alternative test method is straightforward, patient obtains a midstream urine sample, the urologist performs a digital rectal examination and vigorously massages the prostate and push the prostate fluid to the urethra, a second urine sample is then collected and sent for culture tests and microscope examination.
Classes of Prostitus
Mainstream classification of prostitus has four categories. These four categories are acute bacterial prostitus, chronic bacterial prostitus, chronic nonbacterial prostitus and prostadynia. Although this classification is widely used, it has never shown any use in the treatment and diagnosis of prostitus.
A new classification system has proposed that acute and chronic bacterial prostitus remain unchanged, chronic nonbacterial prostitus and prostadynia has been merged into a new category called chronic nonbacterial prostitus/chronic pelvic pain syndrome (CPPS). A final category of asymptomatic prostitus is added to be the fourth category.
Acute Bacterial Prostitus
Acute bacterial prostitus is closely related to urinary tract infection. There are two possible causes, the first is the reflux of infected urine into the prostate gland when passing through prostatic urethra, the second is urethra infection, possibly from sexual contact. The bacteria most commonly found are Escherichia coli, Klebsiella, Proteus, Enterococci and Pseudomonas, Staphylococcus aureus, Streptococcus faecalis, Chlamydia or anaerobes.
Related Infections with Prostitus
Acute bacterial prostitus is often associated with infection in other organs of the urinary tract, many patients have symptoms or pain of epididymitis, seminal vesicles infection, cystitis or pyelonephritis, such as chills, fever, perineum pain, lower back pain, ejaculatory pain, urinary urgency, frequency, dysuria, etc.
Acute Bacterial Prostitus
When infected with acute bacterial prostitus, the prostate gland is tender, firm, hardened, swollen, warm, and irregular and enlarged shape. Most prostate dr. avoid vigorous digital rectal examination of the prostate because they afraid of it may spread the bacteria to other organs.
Lab Tests for Prostitus
The standard lab tests for acute bacterial prostitus is by culturing the prostate fluid, oral antibiotics treatment is used, most patients respond well to most antibiotics although many cross the blood-prostate barrier poorly. Clinical study shows that the inflammation of the prostate caused by acute bacterial prostitus may actually allow better penetration of antibiotics into the organ.
Antibiotics for Prostitus
Standard recommendations include tetracycline, Bactrim, Septra, or a quinolone, if acute bacterial prostitus is caused by sexually transmitted disease, antibiotics medications that cover Chlamydia infection may benefit the patients. A few other medications used for treatment of prostitus are cefazolin (Ancef), cephradine (Velosef), carbenicillin (Miostat), minocycline (Minocin), and cephalexin (Keflex).
Duration of Treatment on Prostitus
Another important factor in treating prostitus is the duration of therapy, if the patient responds well to antibiotics treatment, and the pathogen is sensitive to treatment, most prostate dr. recommend duration of antibiotics therapy to be three to four weeks to prevent relapse, sometimes a even longer course of treatment is needed.
Abscess in Prostitus
There are also cases with prostate abscess in patients with a prolonged course that doesn't respond to many antibiotics therapy, prostate dr. can detect abscess as a fluctuant mass on digital rectal examination, ultrasound scan can provide some images of the prostate so that prostate dr. can evaluate the condition of abscess in the prostate.
Chronic Bacterial Prostitus
Chronic bacterial prostitus is a popular cause of urinary tract infections that is not clearly early and completely, patients typically have infections in the urethra with the same kind of bacteria in prostate fluid. The prostate symptoms are quite variable and most men experience urinary symptoms, such as irritative voiding symptoms, lower back pain, testicles pain, epididymis pain, penis pain, fever, urethra discharge. During ultrasound scan, the prostate size is normal, the prostate is also normal on digital rectal examination.
Chronic bacterial prostitus usually have 10-20 white blood cells per high-power field in prostate fluid specimen, high number of white blood cells indicate chronic bacterial prostitus.
How to allow antibiotics to penetrate the prostate membrane is key to the efficacy of antibiotics treatment, the antibiotics that reached the highest concentrations in the prostate were clindamycin (Cleocin), erythromycin, and trimethoprim (Proloprim). Unfortunately, erythromycin and clindamycin have little efficacy against gram-negative organisms, which are the bacteria most likely to cause CBP.
Chronic Nonbacterial Prostitus/Chronic Pelvic Pain Syndrome
More than 90 percent of men with prostitus are in the category of chronic nonbacterial prostitus/chronic pelvic pain syndrome.
The cause of this class of prostitus is still unknown, many prostate dr. suggest that multiple disorders are the cause.
Symptoms of Chronic Nonbacterial Prostitus/Chronic Pelvic Syndrome
Chronic nonbacterial prostitus/chronic pelvic pain syndrome is a poorly understood medical condition, patients have symptoms which are similar to prostitus, some of the pain and symptoms of the prostate are pain in the penis, painful ejaculation, scrotum pain, testicles pain, lowe back pain,rectal pain and perineum pain, pain in thigh and foot, they often have urinary symptoms, decreased libido, impotence, erectile dysfunction. Usually prostate dr. found no signs of recurrent urinary tract infections, the digital exam and EPS are usually unremarkable, but patients may have intensive pain in the prostate.
Treatment on Chronic Nonbacterial Prostitus/Chronic Pelvic Syndrome
The treatment of this medical condition is extremely challenging because there are still no effective treatments or surgery available for this mysterious disease, and there is limited evidence of any particular therapy in western countries. However, this is not the case in China, the surgery center has an advanced prostatectomy surgery that break the barriers of curing prostitus and can send medicine into the prostate to solve both infection and blockage problem. If you want to know more details of prostatectomy treatment, please read more info on this website.
Oral Antibiotics for Prostitus
Conventionally, given the high rate of stealthy prostate infection, oral antibiotics therapy is appropriate, this is to see if the patient responds to oral antibiotics. Nowadays, Chlamydia trachomatis, Ureaplasma urealyticum and Mycoplasma hominis have been identified as common pathogens in prostitus, antibiotics treatment should cover these organisms.
Typically oral antibiotics treatment are two weeks of doxycycline (vibramycin) or minocycline (Minocin) or erythromycin.
Many trial therapies are suggested, allopurinol (Zyloprim) found some benefit on prostitus, prostate massage is proposed, transurethral microwave thermotherapy claims to relieve symptoms. Diazepam (Valium) claims effective, alternative remedies are muscle relaxants, biofeedback, relaxation techniques.
Alternative Remedies for Prostitus
Another list of alternative remedies for alleviation of prostate pain and symptoms are:
*Hot sitz baths and other nonsteroidal anti-inflammatory drugs (NSAIDs) may provide some prostate symptom relief.
*In men with irritative voiding symptoms, alpha-blocking agents may be beneficial, such as oxybutynin or Ditropa, anticholinergic agents such as terazosin or Hytrin; tamsulosin or Flomax; prazosin or Minipress; doxazosin or Cardura.
*Worry and anxiety are common among prostitus patients, so reassurance is critical to calm them down, and prostate dr. must let them know their condition is not infectious or contagious and prostitus won't cause cancer.
*Psychological counseling is also important to help them fight with the pain and symptoms of prostitus.
*Prostitus diet changes is also feasible because some men may notice aggravation of prostate pain and symptoms with intake of alcohol, sea food or spicy foods and, they should avoid these irritative food.
Asymptomatic prostitus as a new category has something to do with the widespread use of the prostate-specific antigen test or PSA test. Asymptomatic prostitus may elevate the PSA level and return to normal a few weeks after antibiotics treatment. In patients with asymptomatic prostitus, treatment or surgery is routinely recommended if they have elevated PSA level.
General Approach On Treatment of Prostitus
We recommend the following steps in treatment of prostitus. When physical examination and lab tests suggest prostitus, urologist should consider ultrasound scan of the prostate gland, and culture the prostate fluid for Chlamydia, Ureaplasma, Mycoplasma and other common bacteria found in STDs. Empiric antibiotics remedies is reasonable whether it be infectious or not, the most popular prostate medications are doxycycline, fluoroquinolones, for at least four weeks, assistant treatments such as NSAIDs, or alpha-blocking agent, should be considered.
"Prostitus" is a broader term that describes a wide spectrum of genital conditions with variable pain and symptoms, the treatments, surgery and prognosis also vary widely. The reality is, these prostate conditions are ignored by medical science, urologist and researchers. Still there is no effective treatment available in the market worldwide except prostatectomy surgery practiced in the surgery center. Many foreign patients and their urologists are frustrated with treatment on prostitus.
If you finish reading all the page, you must be very determined to find a real cure on prostitus, prostatectomy treatment offered in our prostitus center is the only one that could cure majority of visiting prostitus patients, domestic and international.